<form id="edit-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Centraloffice_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-centraloffice_id" data-rule="required" data-source="centraloffice/index" class="form-control selectpage" name="row[centraloffice_id]" type="text" value="{$row.centraloffice_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Centraloffice_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-centraloffice_name" class="form-control" name="row[centraloffice_name]" type="text" value="{$row.centraloffice_name|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Centralcontact_id')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-centralcontact_id" data-rule="required" data-source="centralcontact/index" class="form-control selectpage" name="row[centralcontact_id]" type="text" value="{$row.centralcontact_id|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Centralcontact_title')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-centralcontact_title" class="form-control" name="row[centralcontact_title]" type="text" value="{$row.centralcontact_title|htmlentities}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Create_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-create_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[create_time]" type="text" value="{:$row.create_time?datetime($row.create_time):''}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Update_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-update_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[update_time]" type="text" value="{:$row.update_time?datetime($row.update_time):''}">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
